| NPI | 1871551770 |
|---|---|
| Doing Business As | FORSYTH PEDIATRICS MEDICAL PARK |
| Entity Type | Organization |
| Authorized Contact | LYNN B EVERHART Managed Care Manager 336-277-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |